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Research Letter
Sept/Oct 2018

Lateral Wall Insufficiency Severity and Patient-Reported Nasal Obstruction Measures

Author Affiliations
  • 1Division of Facial Plastic Surgery, Department of Otolaryngology, Stanford University School of Medicine, Stanford, California
  • 2Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Université de Montréal, Montreal, Québec, Canada
JAMA Facial Plast Surg. 2018;20(5):427-428. doi:10.1001/jamafacial.2018.0216

Lateral wall insufficiency (LWI) as an etiology of nasal obstruction was originally described by the senior author (S.P.M) as dynamic collapse of the lateral nasal wall with inspiration.1 It is divided into 2 zones, with zone 1 corresponding to the sidewall and zone 2 corresponding to the ala.1 This study sought to explore differences in LWI severity2 in patients seen in consultation for functional, cosmetic, and combined rhinoplasty, and to determine if a correlation exists between physician-determined LWI severity2 and patient-reported nasal obstruction measures, including the nasal obstruction symptom evaluation (NOSE) scores and a visual analog scale (VAS).